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Billing code J1100 · Pharmacy

J1100 Medicaid reimbursement rate by state (2026)

Injection, dexamethasone sodium phosphate, 1 mg. Medicaid pays a median of $0.10 for J1100 across 39 states, from $0.05 in New Hampshire to $7.40 in Arkansas.

Data as of Oct 5, 202639 statesEvery rate links to its official source

States publishing
39
National median
$0.10units vary by state
Lowest
$0.05New Hampshire
Highest
$7.40Arkansas
Answer

What does Medicaid pay for J1100?

39 state Medicaid programs publish a fee-for-service rate for J1100. The national median is $0.10 (units differ between states). Arkansas pays the most, $7.40, and New Hampshire the least, $0.05, a 148.0x spread.

State ranking

J1100 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 39 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2025-06-04$7.40——Not classified—
2California Source · since 2026-07-01$4.55——Plans negotiate; applies out of network—
3Iowa Source · since 2022-11-01$0.19——Plans must pay at least this—
19Kansas Source · since 2026-10-01$0.10——Plans must pay at least this—
20South Dakota Source · since 2026-10-01$0.10——Not classified—
21Wyoming Source · since 2026-10-01$0.10——Not classified—
38Indiana Source · since 2016-01-01$0.05unit—Plans must pay at least this—
39New Hampshire Source · since 2026-07-01$0.05——Plans negotiate; applies out of network—
See all 39 states for J1100 — start free

31 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track J1100 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for J1100?

It depends on the state. Of the 39 states with a published fee-for-service rate, the median is $0.10. Arkansas pays the most ($7.40) and New Hampshire the least ($0.05).

Which state pays the highest Medicaid rate for J1100?

Arkansas, at $7.40, effective 2025-06-04.

Do managed-care plans pay the same rate for J1100?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.